THE PATHOLOGY AND TREATMENT OF CATARRH.

THE PATHOLOGY AND TREATMENT OF CATARRH.

105 two former were certified by Mr. C. Evans (surgeon) to have died of "Asiatic cholera," the latter of "malignant Asiatic cholera." The two adults ...

192KB Sizes 4 Downloads 62 Views

105 two former

were certified by Mr. C. Evans (surgeon) to have died of "Asiatic cholera," the latter of "malignant Asiatic cholera." The two adults were from the Greenwich Union, and had been at Perry’s establishment nearly two mouths. It appears, also, that no coroner’s inquest has been held, and that the inmates of " The Wilderness" are permitted to come into the town as usual-a town which contains upwards of 11,000 permanent inhabitants, and which is entirely dependent upon its summer visitors. I repeat " Asiatic cholera" is or is not contagious. In The Times of Saturday last, in the report of the highly interesting coroner’s inquest, at the Royal Free Hospital, in Gray’s-innroad, upon the bodies of four children who had been inmates of Drouett’s infant pauper establishment, at Tooting, it appears that the coroner (Mr. Wakley) asked Mr. Grainger, one of the superintending-inspectors of the General Board of Health, " Do you deem cholera ordinarily, or under any circumstances, to be contagious ?" To this Mr. Grainger replied—" I believee it under no form or circumstances whatever to be a contagious disease. I have never met with any fact which has led me to believe it to be communicable from man to man." Again, Mr. Wakley asked, " Do you believe the disease can be taken by emanations from a dead body ?" Mr. Grainger replied"No ; I have seen nothing to induce me to believe that the disease can be taken by emanations from a dead body." Here, then, we have the opinion of a learned member of the Council of the Royal College of Surgeons of England, that the cholera is not contagious, in which opinion, after the most assiduous attention to numerous cases of cholera, in 1831 and 1832,I entirely concur, and beg to add, that I considered then, as I do now, that it is impossible any epidemic disease should ever depend upon contagion, and that regulations of quarantine were mere walls to shut out larks. I am, Sir, your obedient servant,

JOSHUA WADDINGTON, F.R.C.S.E. *We regret that want of space precluded our publishing

Margate. Januarv. 1849.

this letter last week.-ED. L.

surgery shall be chosen somewhat as follows : the president shall be appointed by the secretary of state, and hold his appointment for three years. Two members shall be chosen by the College of Physicians; four by the council of the fellows of the College of Surgeons; and six by the council of the licentiates in medicine and surgery. Licentiates in medicine and surgery, after six years, shall be eligible for examination for the fellowship of the College of Surgeons and also for the diploma of doctor of medicine at the College of Physicians. The medical profession in Scotland and Ireland to be under the same regulations, and allowed to practise in all parts of the united kingdom. The registration of the profession: the physicians to be placed first ; the fellows of the College of Surgeons second ; and, third, the general practitioners having double qualifications ; and, lastly, all surgeons &c. in actual practice. That licence to sell drugs be granted at the quarter sessions of each county, &c., where the person applying shall be examined as to his knowledge of the nature and quality of drugs, especially of the active poisons; which, under penalty, shall be kept locked up, under the care of himself or licensed assistant. The examination to take place before two magistrates, and be conducted by two competent persons appointed by the bench of magistrates. The licence to be charged two pounds. The licence for assistants to be charged ten shillings. All persons at present selling drugs, to apply for a licence, to be granted without examination, at a charge of ten shillings. H. S., SURGEON AND APOTHECARY.

A SECOND HEROD. To the Editor of THE LANCET. SIR,—Some friends of mine being very anxious to learn whether I am the doctor alluded to, under the above title, in THE LANCET of the 23rd of December, will you allow me to make use of your journal to assure them that I am not the gentleman alluded to. I havenever vaccinated a child since I came to Darlington, nor, indeed, does it strictly come within my province to do so. Hoping you will excuse my thus occupying your space with a mere personal matter, I remain. Sir, your obedient servant, WILLIAM V. DRURY, M.D.

A "LANCET" BLACK-LIST. To the Editor of THE LANCET. SIR,—I have long been much pleased with the manner in which you hold up to contempt and derision the names and notoriety in adpretensions of men who fish for patients and vertisements and placards, in however so mild a degree; and Darlington. Jan. t6- !840. have long thought it would be an admirable plan to adopt, if, at stated intervals, (say once in one or two months,) you would print a collection of all such cases as were sent to you, in a THE PATHOLOGY AND TREATMENT OF CATARRH. To the Editor of THE LANCET. column of THE LANCET devoted to this purpose solely, and which column might be headed with " Quack Scraps"Blackcatch cold, and either blame themselves, or SIR,—People If once a man’s name are told by others that the cause is want of proper caution. List," or " Condemned Column," &c. appeared in this column, it would stick to him for life; and But there are persons who take cold, and suffer therefrom, in the dread of such an unenviable addition to their love of spite of care or used caution. There are causes quite indenotoriety would keep many a man within the bounds of pendent of themselves, and these causes seem to tell on partidecorum as strictly as any law of the legislature. cular constitutions, especially those who are thin, those who This week you receive the Birmingham Journal, with the are of a nervous or sanguinous temperament. advertisement of a candidate for notoriety, to whom you In these, the balance of animal heat is only just kept up obedient do this service.-I when the atmosphereis at mean temperature. If above that, am, Sir, your servant, might SENEX. P.S.-Let me press upon you the adoption of this plan; I have spoken to others, who highly approve of it. With what anxious eagerness would every delinquent look at THE LANCET of that week !

if below, they are deprived of a sufficient quantity of caloric to carry on the natural functions of the human frame. The insensible perspiration is checked on the surface of the skin, and the aqueous exhalation is diminished from the mucous surface of the air-passages. These results take place from breathing (walking, or in any mode living in,) a cold atmosphere. MEDICAL REFORM. A damp atmosphere produces cold because atmcspheric air HEADS OF A MEDICAL REFORM BILL CALCULATED TO MEET THE will only hold a certain quantity of vapour; hence that which WANTS OF ALL GRADES OF THE PROFESSION, AND TO BE SERought to be carried off from the body is checked. A cold VICEABLE TO THE PUBLIC. atmosphere produces cold because it reduces the animal heat, The College of Physicians to continue the management of and there is not found sufficient heat to become latent by disits own affairs, &c., &c., as at present. persing the animal vapours. Hence the results, congestion The College of Surgeons shall be composed of two degrees, and a peculiar morbid state of the lining of the air-passages, throw off secretion which accords with the different determined by a first and second examination. First : the fellows, who shall have the power to elect a stages of the disease, and often runs into fatal maladies, as council for the general management of the college, and to phthisis. Treatment of common cold :appoint examinations for admission into their own body. Second : the licentiates in medicine and surgery who shall 1. Diuretics. 2. Sternutatories. bear, as at present, the honorary title of surgeons, and shall be represented in the College of Surgeons by a council, chosen 3. Inhalation, especially if dry, pure air could be inhaled; by members of their degree, who shall have been admitted ten it must be quite pure, dry air; mischief results from the irriyears. This council to join in all matters and powers with the tation of dried foreign particles existing in it. council of the fellows, and watch over the interests of the 4. Give rhubarb pills, and a full, generous diet. licentiates. Yours respectfully, The court of examiners for the licentiates in medicine and A SUFFERER. January 17, 1849. January, 1849.

they suffer from overheat;

which